Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | CC_Hypertension | 417 | Intracranial hypertension: | 1989-10-01 - Variable Added |
CRANIAL COMPLICATIONS
ICP - INTRACRANIAL HYPERTENSION
Definition
Intracranial pressure that is equal to or greater than 20 millimeters of mercury
Form
[X] Form 1
[ ] Form 2
Source
Abstraction (acute record)
Details
Patient must have an ICP monitor in order to code this variable other than ‘88. Not Monitored’ or ‘99. Unknown.’
If intracranial pressure is measured in cmH2O, use the following conversion formula: 1 mmHg = 13.6 cmH2O
ICP monitors are sometimes referred to by brand name in medical records. Examples of different brands of ICP monitors include Ventric, and Codman.
A single spike of 20mm/Hg or greater during a surgical procedure should not be counted as a ‘Yes’ for this variable.
Values labeled CPP (cerebral perfusion pressure) are sometimes listed under ICP monitoring and should NOT be used. CPP monitoring is also measured in mmHg, and should not be confused with the recorded ICP values.
Variables
Codes and Values
ID 417
For Form: [Form 1]
For Variables: [CC_Hypertension]
Code | Description |
|---|---|
1 | Monitored, no ICP >=20 mm/HG |
2 | ICP Fluctuations Are Evident Where Peaks Of >=20 mm/Hg Occur Within One 24 Hour Span |
3 | ICP Fluctuations Are Evident Where Peaks Of >=20mm/Hg Occur Over More Than A 24 Hour Span |
4 | ICP Evident Where ICP >=20mm/Hg Is Sustained For Greater Than A 24 Hour Period |
88 | Not Monitored |
99 | Unknown |
History
Date | Description |
|---|---|
1994-02-01 | Changed CODE : code 2 means less than or equal to 24 hours duration. |
1999-07-01 | Changed CODE : to clarify coding of fluctuating ICP. |
1999-07-01 | Added NOTE : regarding conversion from cmH2O to mmHg. |
2010-07-01 | Added NOTE : regarding brands of ICP monitors that may be referred to in medical records. |
2014-10-01 | Added NOTE : A single spike of 20mm/Hg or greater during a surgical procedure should not be counted as a 'Yes' for this variable. |
2016-04-01 | Changed CODE : revised Codes 2,3 and 4 to better clarify when fluctuations occur and when peaks happen |
2017-10-17 | Added NOTE : values labeled CPP (cerebral perfusion pressure) are sometimes listed under ICP monitoring and should NOT be used. CPP monitoring is also measured in mmHg, and should not be confused with the recorded ICP values. |
SEIZURES
Definition
Self-Reported Seizures
- How many seizures have you had in the past year? (Since your discharge)
Seizures present post-injury, and if so, when they occurred. May include seizures at more than one time point.
Form
[X] Form 1
[X] Form 2
Source
Interview, Mail-Out (participant or proxy)
Details
Include only seizures since discharge from rehabilitation.
Source
Abstraction (acute and rehabilitation record)
Details
To be collected from the acute and rehabilitation record.
Data sources include EMS, ED, Progress, DC notes, and EEG reports.
If seizure occurs exactly 24 hours post injury, code “Seizures between 24 hours and 7 days after injury” as “Yes”.
If individual had premorbid seizures and drug treatment but no seizures during this hospitalization, code as “absent”.
Seizure can be witnessed by anyone, but must be suspected as a seizure by medical staff notation in the medical chart as seizure, likely/probable seizure, seizure like activity or EEG report.
Key Search Words - epilepsy, seizure, seizure disorder, post-ictal activity, status epilepticus, epileptiform discharges/properties, repetitive rhythmic jerking
Definition
Seizures present prior to injury
Form
[X] Form 1
[ ] Form 2
Source
Pre-Injury History (participant or proxy)
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | HospSeiz | 512 | Evidence of seizure post-injury: | 2017-10-01 - Variable Added |
Form 1 | PriorSeiz | 535 | Prior to this injury, has a physician ever told you that you have a seizure disorder? | 2017-10-01 - Variable Added |
Form 1 | Seiz24 | 553 | Seizures during first 24 hours after injury: | 2017-10-01 - Variable Added |
Form 1 | Seiz24to7 | 553 | Seizures between 24 hours and 7 days after injury: | 2017-10-01 - Variable Added |
Form 1 | Seiz7Plus | 553 | Seizure more than 7 days after injury: | 2017-10-01 - Variable Added |
Form 2 | PastYearSeizF | 730 | How many seizures have you had in the past year (or since your discharge)? | 2017-10-01 - Variable Added |
Codes and Values
ID 512
For Form: [Form 1]
For Variables: [HospSeiz]
Code | Description |
|---|---|
0 | No |
1 | Yes |
66 | Variable Did Not Exist |
99 | Unknown |
ID 535
For Form: [Form 1]
For Variables: [PriorSeiz]
Code | Description |
|---|---|
0 | No |
1 | Yes |
66 | Variable Did Not Exist |
77 | Refused |
99 | Unknown |
ID 553
For Form: [Form 1]
For Variables: [Seiz24, Seiz24to7, Seiz7Plus]
Code | Description |
|---|---|
0 | No |
1 | Yes |
66 | Variable Did Not Exist |
88 | Not Applicable |
99 | Unknown |
ID 730
For Form: [Form 2]
For Variables: [PastYearSeizF]
Code | Description |
|---|---|
1 | up to three seizures |
2 | 4-12 seizures |
3 | at least one seizure monthly |
4 | at least one seizure weekly |
5 | at least one seizure daily |
66 | Variable did not exist |
88 | Not applicable: No seizures |
99 | Unknown |
History
Date | Description |
|---|---|
2017-10-01 | Variable added to database |
2017-10-01 | Variable added to database |
2018-07-01 | Changed variable from 'Seizure During Hospitalization' to 'Seizure Post-Injury' |
2019-01-15 | Changed variable back to 'Seizure During Hospitalization' from 'Seizure Post-Injury' |